Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

{"title":"Perceived stress, anxiety and depression in mothers following postnatal hospitalization of their babies","authors":"K. Khemakhem,&nbsp;K. Chiha,&nbsp;C. Regaieg,&nbsp;D.B. Touhemi,&nbsp;H. Ayadi,&nbsp;N. Hmida,&nbsp;Y. Moalla","doi":"10.1016/j.neurenf.2025.10.005","DOIUrl":"10.1016/j.neurenf.2025.10.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Separating the mother and baby after birth due to hospitalization can be a distressing experience that negatively affects the mother's mental health. The objective of the study was to assess stress, anxiety and depression in mothers during their babies’ hospitalization and three months after discharge and to identify the factors associated with psychological disturbance.</div></div><div><h3>Patients and methods</h3><div>This was a prospective, descriptive and analytical study carried out over a period of 18 months, from April 2021 to September 2022, among mothers of babies hospitalized from birth for a period of 5 to 15 days, in the Sfax-Tunisia Neonatology Department, which hospitalizes the baby alone. Our study was conducted in two phases: to assess perceived stress, anxiety and depression in these mothers during their babies’ hospitalization and again three months after the baby was discharged from the hospital.</div></div><div><h3>Results</h3><div>During the baby's hospitalization, the prevalence of acute stress disorder, anxiety and depression was 97.2%, 80.7% and 85.3% respectively, compared with 29.1%, 10.7% and 8.7% of post-traumatic stress disorder, anxiety and depression respectively three months later.</div></div><div><h3>Conclusions</h3><div>Our study showed that a baby's postnatal hospitalization, in association with certain socio-demographic and clinical factors, had a negative impact on the psychological state of the mother during her baby's hospitalization. These problems persisted for some women for several months after their discharge. Psychological support for mothers during their babies’ stay in neonatology is therefore essential to mitigate the immediate and subsequent impact of this hospitalization.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 258-265"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilinguisme et troubles développementaux du langage : enjeux diagnostiques et cliniques","authors":"I. Duguine,&nbsp;M. Speranza","doi":"10.1016/j.neurenf.2026.04.012","DOIUrl":"10.1016/j.neurenf.2026.04.012","url":null,"abstract":"<div><div>This article examines the specificities of bilingual development and the challenges they pose for diagnosing developmental language disorders (DLD). It emphasizes that bilingualism, far from being a risk factor, can nevertheless generate language manifestations (interference, code-switching, transfer) that may mask or mimic signs typically associated with language disorders, making clinical assessment particularly complex. In light of the CATALISE consortium criteria, the article situates the diagnosis of DLD within a functional and developmental perspective, focusing on the impact of the disorder on communication, learning, and social participation. Special attention is given to typical language development milestones, early warning signs, and the heterogeneity of language profiles observed in DLD, including an interlanguage perspective. The article notes that the lack of norms adapted to bilingual children and the use of tests standardized on monolingual populations expose clinicians to an increased risk of diagnostic errors. From this perspective, the article highlights the importance of a contextualized assessment based on a detailed history of the child's linguistic and cultural background, the evaluation of both languages whenever possible, collaboration with interpreters, the judicious use of conventional test batteries, and the use of complementary approaches such as dynamic assessment. These practices enable a more precise distinction between developmental language disorder and delays related to asymmetric language exposure. Finally, the article underscores the need to develop clinical tools better adapted to bilingualism and to promote a truly holistic speech-language approach that integrates linguistic, cultural, and familial dimensions to optimize diagnostic accuracy and the quality of care for bilingual children with language difficulties.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 249-257"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le rôle médiateur de l’attachement dans la relation entre traumatismes infantiles et dissociation à l’âge adulte : une revue systématique","authors":"Maëline Bauer,&nbsp;Andrea Soubelet","doi":"10.1016/j.neurenf.2026.04.002","DOIUrl":"10.1016/j.neurenf.2026.04.002","url":null,"abstract":"<div><h3>Purpose</h3><div>The relationship between childhood trauma and dissociation in adulthood is well documented in current literature. Nevertheless, the mechanisms underlying this association remain under-studied. Attachment style is frequently associated with early traumatic experiences and dissociation, but little data are available on its role between these two variables. The aim of this study was to determine whether attachment quality mediates the relationship between childhood trauma and dissociative symptoms in adulthood.</div></div><div><h3>Participants and method</h3><div>A systematic review was conducted according to the PRISMA recommendations, including studies in French, English and Spanish, selected on PubMed, ProQuest, Scopus, Web of Science and ScienceDirect. To be included, studies had to focus exclusively on adults, evaluate the three variables of interest (i.e. childhood trauma, attachment and dissociation), use validated measurement instruments, and use a statistical model of mediation involving attachment. The risk assessment of methodological bias was performed using the Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>Eight analytical cross-sectional quantitative studies were included in this review. Seven of them demonstrated a significant mediating role of attachment (disorganized, anxious or avoiding) in the relationship between childhood trauma and dissociation in adulthood, with a predominance of the role of disorganized attachment.</div></div><div><h3>Discussion</h3><div>The results report the presence of a mediating role of attachment styles in the link between childhood trauma and dissociation, especially for disorganized attachment. However, the exclusive use of cross-sectional design, the important use of non-clinical samples, the diversity of measurement tools and the limited representativeness of the samples reduce the generalizability of the results.</div></div><div><h3>Conclusions</h3><div>This systematic review highlights the mediating role of attachment in the relationship between childhood trauma and adult dissociation. The exclusive use of cross-sectional design, the non-clinical samples, the lack of representativeness of these samples and the diversity of measurement instruments underline the importance of continuing research in order to better understand this phenomenon.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 216-234"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Mina Bennahmias","doi":"10.1016/j.neurenf.2026.08.002","DOIUrl":"10.1016/j.neurenf.2026.08.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Page 266"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Violence filio-parentale à l’adolescence : entre victimisation et agression envers un parent","authors":"F. Glowacz,&nbsp;L. Dothée","doi":"10.1016/j.neurenf.2026.02.004","DOIUrl":"10.1016/j.neurenf.2026.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescent child-to-parent violence constitutes a specific form of intrafamilial violence that remains insufficiently recognized in clinical practice, despite a growing body of scientific literature. It is embedded in complex developmental and relational trajectories. This article aimed to integrate recent findings from the literature with an in-depth clinical analysis based on a case study of an adolescent who engaged in violent behavior toward his mother.</div></div><div><h3>Method</h3><div>This study was based on a case study drawn from a qualitative research project conducted with adolescents supported by community-based youth services. A semi-structured individual interview was analyzed using thematic content analysis, focusing on the adolescent's subjectivity, representations, and the relational dynamics underlying violent acting out.</div></div><div><h3>Results</h3><div>Julien's (19 years old) narrative highlights early and prolonged exposure to intrafamilial violence, repeated criticism, and experiences of non-recognition, within an educational context characterized by inconsistency and an affectionless controlling parenting style. During adolescence, these experiences were associated with a weakening of individuation processes and emotional regulation, fostering the emergence of violent behaviors directed specifically toward the mother. Violent acts occurred both within a delayed temporality, as reactions to prior victimization experiences, and within a dynamic of interactional escalation.</div></div><div><h3>Discussion</h3><div>This case study supports existing literature conceptualizing child-to-parent violence as a relational and developmental process rather than the expression of an isolated hostile intent. The clinical narrative illustrates the importance of circular and bidirectional dynamics of violence, making the positions of perpetrator and victim difficult to dissociate in the adolescent's lived experience, characterized by a dual victim–perpetrator status. It also highlights a form of subjective legitimation of violence, whereby violent acts are perceived as justified responses to perceived injustices, humiliations, or lack of recognition.</div></div><div><h3>Conclusion</h3><div>Julien's case underscores the importance of early identification of child-to-parent violence, not only to ensure protection and cessation of violent behaviors, but also as an opportunity for preventive intervention aimed at limiting chronicity and long-term effects. Clinically, the findings support trauma-informed and systemic approaches combining individual work with the adolescent and parental and family support, including siblings.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 235-241"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hommage à Michel Basquin","authors":"D. Cohen,&nbsp;G. Schmit","doi":"10.1016/j.neurenf.2026.08.001","DOIUrl":"10.1016/j.neurenf.2026.08.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 267-269"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological impact of parental loss in children: A systematic review","authors":"J. Dantan,&nbsp;L. Kanagaratnam,&nbsp;B. Mourvillier,&nbsp;A.-C. Rolland,&nbsp;J. Eutrope","doi":"10.1016/j.neurenf.2026.03.003","DOIUrl":"10.1016/j.neurenf.2026.03.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Parental loss during childhood is a major traumatic event affecting approximately 3–4% of children in Western countries and is associated with significant short- and long-term psychological and physical consequences. However, the specific symptoms and predisposing factors associated with parental bereavement remain insufficiently studied. This review aimed to identify and classify the psychological symptoms associated with parental bereavement, distinguishing between short-term (&lt;<!--> <!-->6 months) and long-term effects, and to analyse factors influencing their development.</div></div><div><h3>Materials and methods</h3><div>A literature review was conducted using PubMed and Scopus databases which included studies published between 2014 and 2024 involving children under 18 who had lost a parent. The articles included how to deal with psychic symptoms after a parent's death.</div></div><div><h3>Results</h3><div>Of the 278 articles identified, 17 were retained. The symptoms most frequently observed in the short term were depression (25.9–32.2%), anxiety (20.5–22%), and post-traumatic stress disorder (PTSD; 10–30.2%). In the long term, depression remained predominant (2.3–24%), followed by anxiety (10–24%) and PTSD (4.1–22%). Certain predisposing factors, such as the child's age, gender, cause of death, and surviving parent's resources, significantly influenced the evolution of symptoms.</div></div><div><h3>Conclusion</h3><div>This review underlines the major impacts of parental bereavement on children's mental health while identifying risk factors. These findings underscore the importance of tailored support in bereaved children.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 207-215"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the healthcare pathway experiences and quality of life of Moroccan children living with rare diseases","authors":"M. El Hani,&nbsp;I. Ratbi,&nbsp;M. Zerkaoui,&nbsp;W. Jdioui,&nbsp;L. Rifai,&nbsp;Y. Cherrah,&nbsp;A. Thimou Izgua,&nbsp;S. Serragui","doi":"10.1016/j.neurenf.2026.01.003","DOIUrl":"10.1016/j.neurenf.2026.01.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Rare diseases (RDs) are chronic and complex conditions that pose major public health challenges. Beyond their medical implications, they have significant psychosocial repercussions and substantially affect the quality of life of affected children. This study aimed to describe the demographic and socioeconomic characteristics of families living with children affected by an RD, to explore their healthcare pathways, and to assess the health-related quality of life (HRQoL) of these children.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted from May 2023 to March 2024. Data on demographics, socioeconomic status, and medical history were collected using a pre-established questionnaire. The HRQoL was assessed using the Moroccan version of the PedsQL 4.0 Generic Core Scales. The data were analyzed using SPCC, version 21.</div></div><div><h3>Results</h3><div>Ninety-nine children with RDs were included, with 56.6% being boys. The median age at symptom onset was 1<!--> <!-->year (1<!--> <!-->month–3<!--> <!-->years). Most families were of low socioeconomic status, with monthly household incomes of less than 3500MAD (74.4%). Among the children, 47.5% were hospitalized and 36.4% consulted three to five doctors. Among the patients, 97.9% did not receive psychological or social support. The mean total PedsQL score of the children (60.06<!--> <!-->±<!--> <!-->20.85) was higher than that of their parents (49.35<!--> <!-->±<!--> <!-->22.12) (<em>P</em> <!-->=<!--> <!-->0.028). Notable differences were observed in the social functioning (<em>P</em> <!-->=<!--> <!-->0.013) and psychosocial health (<em>P</em> <!-->=<!--> <!-->0.039) scales.</div></div><div><h3>Conclusions</h3><div>This study highlights the burden of RDs in children, as well as the complexity of the care pathways they must navigate. Research on this topic in Morocco remains scarce. It is imperative to integrate these challenges into public health policies by ensuring more coordinated care pathways, providing tailored psychological support, and promoting the social and educational inclusion of affected children.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 242-248"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2026.08.005","DOIUrl":"10.1016/j.neurenf.2026.08.005","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 5","pages":"Pages 270-272"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2026.05.001","DOIUrl":"10.1016/j.neurenf.2026.05.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 203-205"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}